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1134631070
ODALYS HERNANDEZ
MIAMI, FL
NPI
1134631070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CCM100323)
Enumeration Date
2017-11-01
Last Update Date
2017-11-01
Business Address
ODALYS HERNANDEZ CCM
3271 NW 7TH ST STE 203
MIAMI, FL 33125-4141
Phone number: 786-220-6902
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Mailing Address
ODALYS HERNANDEZ CCM
9686 FONTAINEBLEAU BLVD APT 504
MIAMI, FL 33172-4136
Phone number: 786-800-4552
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